San Francisco Methadone Treatment

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San Francisco provides a notable number of opioid treatment alternatives from supervised methadone clinics to private physicians prescribing suboxone (buprenorphine). Counseling is a requirement for those who receive opioid replacement therapy area. Suboxone has established itself as an effective medication for relief from opiate withdrawal symptoms for a significant number of people. Here on the Methadone.US website are links to more information on methadone’s benefits vs. risks, opioid dependence, the role of counseling in addiction treatment, and current job openings in U.S. methadone clinics.


San Francisco Methadone Clinics
BAART Turk Street Clinic
FACET
433 Turk Street
San Francisco, CA 94102
(415) 928-7800
BAART Behavioral Health Services Inc
Market Street Clinic
1111 Market Street
San Francisco, CA 94103
(415) 863-3883
Westside Methadone Treatment Program 1301 Pierce Street
San Francisco, CA 94115
(415) 563-8200
Fort Help LLC 915 Bryant Street
San Francisco, CA 94103
(415) 777-9953
San Francisco General Hospital (SFGH)
Opiate Trt Outpt Prog/Methadone Detox
1001 Potrero Avenue, Building 93
San Francisco, CA 94110
(415) 206-8412
San Francisco General Hospital (SFGH)
Substance Abuse Servs/Meth Maintenance
1001 Potrero Avenue, Building 90 Ward 93
San Francisco, CA 94110
(415) 206-8412
Bayview Hunters Point Foundation
Substance Abuse Programs
1625 Carroll Street
San Francisco, CA 94124
(415) 822-8200×12
Veterans Affairs Medical Center
Substance Abuse Programs
4150 Clement Street, Unit 116-E
San Francisco, CA 94121
(415) 221-4810×2818
VA Mental Health Clinic 525 21st Street
Oakland, CA 94612
(510) 587-3400
Berkeley Addiction Treatment Services 2975 Sacramento Street
Berkeley, CA 94702
(510) 644-0200

 

San Francisco Suboxone Treatment
Ako Jacintho, M.D. 1735 Mission St.
San Francisco, CA 94103
(415) 746-1940
Laurene Spencer, M.D. BAART Market Street Clinic
1111 Market Street
San Francisco, CA 94103
(415) 863-3883×163
Vinh Ngo, M.D. 508 A 14th Street
San Francisco, CA 94103
(415) 864-4444
Hanya Barth, M.D. 1200 Howard Street
San Francisco, CA 94103
(415) 255-1200
Thomas Prendergast, D.O. FT Help
915 Bryant Street
San Francisco, CA 94103
(415) 777-9953
Aaron Vance Blackledge, M.D. 508 A 14th Street
San Francisco, CA 94103
(415) 864-4444
Charles Parker Windham, M.D. Mobile Crisis Treatment Team
1520 Howard Street
San Francisco, CA 94103
(415) 355-8300
Audrey Sellers, M.D. 1111 Market St., 1st Flr.
San Francisco, CA 94103
(415) 863-3883
Kelly Pfeifer, M.D. San Francisco Health Plan
201 Third Street, 7th Floor
San Francisco, CA 94103
(415) 615-4232
Thomas Prendergast, D.O. 915 Bryant Street
San Francisco, CA 94103
(510) 727-9756
Robert Paul Cabaj, M.D. 1380 Howard Street
5th Floor
San Francisco, CA 94103
(415) 255-3447
David F. Hersh, M.D. 1380 Howard Street
2nd Floor
San Francisco, CA 94103
(415) 255-3601
Reda Z Sobky, M.D., PhD 915 Bryant Street
San Francisco, CA 94103
(415) 777-9953
Dan Alan Kalshan, M.D. 220 Montgomery Street
Suite 946
San Francisco, CA 94104
(415) 433-7000
Amy Catherine Noack, M.D. VA Downtown Clinic
401 3rd Street
San Francisco, CA 94107
(415) 551-7320
David Lane Pakter, M .D. Potrero Hill Health Center
1050 Wisconsin St
San Francisco, CA 94107
(415) 648-3011
Masaru Fisher, M.D. 760 Harrison Street
San Francisco, CA 94107
(415) 836-1724
Michael Joseph Drennan, M.D. 1050 Wisconsin Street
San Francisco, CA 94107
(415) 920-1213
Sushma Zakkula Magnuson, M.D. 1050 Wisconsin Street
San Francisco, CA 94107
(415) 920-1211
Paul D. Abramson, M.D. 450 Sutter Street
Suite 300
San Francisco, CA 94108
(415) 963-4431
Carolyn Ann Schuman, M.D. Reliance Center
450 Sutter Street, Suite 300
San Francisco, CA 94108
(415) 788-0500
Harm Reduction Therapy Center 423 Gough Street
San Francisco, CA 94102
(415) 863-4282×3
BAART FACET
Geary Street Clinic and FACET
433 Turk Street
San Francisco, CA 94102
(415) 928-7800
Joe Healy Medical Detoxification
Project
120 Page Street
Floors 2 and 3
San Francisco, CA 94102
(415) 553-4490
Haight Ashbury Free Clinics Inc 1735 Mission Street
San Francisco, CA 94103
(415) 552-2114
BAART Behavioral Health Services Inc
Market Street Clinic
1111 Market Street
1st Floor
San Francisco, CA 94103
(415) 863-3883
Walden House
Substance Abuse Treatment and MH Servs
890 Hayes Street
San Francisco, CA 94117
(415) 701-5100
Veterans Affairs Medical Center
Substance Abuse Program
4150 Clement Street
Unit 116-E
San Francisco, CA 94121
(415) 221-4810×2818
Ohlhoff Recovery Programs
Ohlhoff Women's Residential Program
601 Steiner Street
San Francisco, CA 94127
(415) 621-4388×14
Walden House
Adult Residential Program TI
1445 Chinook Court
San Francisco, CA 94130
(415) 989-4902

 

Federal Rules For Methadone Access Are Changing

The synthetic opioid, fentanyl, has led to an increase in overdose deaths in recent years. As many as 112,000 in the last year according to NPR. As a result, some physicians are pushing to make methadone more available to those who need it.

The Biden administration has created new federal rules for methadone treatment designed to widen access for more patients. In particular, the requirement of one year of active opioid addiction is being reduced to just 6 months of opioid addiction in order to become eligible to receive methadone.

There are about 2000 federally-approved opioid treatment programs (OTP) in the United States. Many thousands of patients are receiving life saving services from these clinics. Since COVID, many OTP clinics have made take home medication more accessible to those in early phases of treatment.

With illegal opiates still flooding the country, increasing access to opioid treatment and medication is easily justified. The question remains as to how local law enforcement can ultimately stem the flow of drugs into the community, as well as how youth can be educated to avoid risking first drug use.

Posted in Buprenorphine, Harm Reduction, Methadone, Methadone Clinics, Methadone Take Home, Opioid Treatment, Prescription Drugs, Suboxone | Tagged , | Comments Off on Federal Rules For Methadone Access Are Changing

How Bad Is Opioid Withdrawal

There is an informative video by Sarah Wakeman on the physical and psychological perils of severe opioid withdrawal. Sarah is a Medical Director at Mass General Brigham. They are an integrated health care system that conduct medical research, teaching, and patient care.

In the video, Sarah explains how opioid withdrawal can become so severe with diarrhea and vomiting that individuals can die from extensive dehydration. As physicial dependency progresses, the brain becomes increasingly imbalanced and unable to function without the presence of opioids.

When opioid withdrawal commences (usually 8-12 hours after last use), it becomes increasingly unbearable as the body is flushed with stress hormones. The withdrawal discomfort builds in intensity over days, and can last up to a week or more. For many, this withdrawal process feels akin to a severe case of the flu, but then potentially reaches levels of sickness even far beyond that.

In the video, Sarah goes on to discuss the benefits of methadone and buprenorphine in reducing severe withdrawal symptoms and in helping patients to ultimately not die from overdose. She also illuminates on how rational decision-making is so extremely difficult when struggling against the intense pain of opioid withdrawal.

Please check this video out, and share it with anyone you believe can benefit from its message.

Posted in Buprenorphine, Medication Assisted Treatment, Methadone, Methadone Clinics, Opiate Withdrawal, Opioid Treatment, Pain Management, Prescription Drugs, Suboxone | Tagged | Comments Off on How Bad Is Opioid Withdrawal

Helping Skeptics Understand Methadone

When it comes to addiction, reactions and opinions are often intense. Addiction is a devastating illness that can rapidly derail a person’s life, and seriously impact the lives of those around them.

Sadly, addiction leads people to behave in ways that make no sense to their family, friends, and co-workers. Therein lies an important part of the problem. Family feel confused, angry, and fearful as their loved one tumbles down the hill of active addiction.

When it comes to something as perplexing as drug addiction, grasping for answers is an understandable reflex for family and friends. What family often don’t comprehend is the power of physical dependency to opioids and the severe sickness that results from opioid withdrawal.

Family and others incorrectly assume that mere “choice” is all that’s needed to overcome the addiction. When the addict fails to remain drug free, harsh judgment by others usually follows.

Halting withdrawal sickness is a paramount step for an opioid addicted person. This cannot be overstated. As long as a person is suffering from severe opioid withdrawal, their ability to think and “choose” logically is greatly impaired.

Statistically, individuals who utilize medication-assisted treatment (like methadone) are far more likely to avoid incarceration, a continued downward spiral, or death by overdose. Medication assistance successfully removes debilitating withdrawal sickness so that the addicted person can experience greater clarity of thought and the ability to make more sound decisions that lead to improved quality of life.

If you are a skeptic about methadone or suboxone, you may think “they’re just trading one drug for another”. This is not true. People, once therapeutically stabilized on methadone or suboxone, do not get high from the medication. Health generally improves, and the person is able to function much better on the job and at home. This brings hope. It offers a new opportunity for further recovery.

When you care about a person’s survival, one more chance to help them can be quite valuable. Don’t let judgment or excessive skepticism get in the way. Medication-assistance in opioid recovery is effective for many people, and it has been the life saving next step that some never got the chance to take.

Posted in Methadone, Methadone Benefits, Methadone Clinics, Recovery, Suboxone | Tagged | Comments Off on Helping Skeptics Understand Methadone

Methadone Treatment in Oregon

Like most states, Oregon is in need of quality treatment options for opioid-addicted individuals who are ready for recovery.

This article, in the Hillsboro News-Times, features the recent approval by Washington County commissioners to add a new methadone clinic in Hillsboro, Oregon.

Acadia Healthcare is aiming to establish the new methadone clinic in Hillsboro in order to better serve the local community. Acadia already operate a mobile unit in the general area as well as a comprehensive treatment center (CTC) in nearby Tigard located about 20 miles away.

The commissioners voted 5-0 to approve the proposed site which will be on the local bus route thereby providing improved access. The article mentions that Oregon presently has 17 operational methadone clinics serving the state, where fentanyl, opiates, and other substances are causing a grave overdose crisis.

Having local opioid treatment available is a critically important step in saving lives and providing hope to patients and families. Methadone has been proven to decrease opioid use, reduce relapse risks & overdose deaths, as well as increase employment and overall health. Clinics offering medication-assisted treatment (MAT), like methadone and buprenorphine, are forging a new path to safety for those people once stuck in active addiction.

Posted in Acadia Healthcare, Addiction Treatment, Buprenorphine, Methadone, Methadone Clinics, Oregon Methadone Clinics, Suboxone | Tagged , , | Comments Off on Methadone Treatment in Oregon

Remote Observation of Methadone Dosing

There’s a new spin being proposed on the dispensing of methadone to Opioid Use Disorder (OUD) patients. A federally-funded project is underway between Scene Health and The University of Washington in which patients video themselves taking their daily methadone dose, and then submit that video to the treatment provider.

The project is evaluating this new modified approach that falls somewhere between in-person daily dosing and unsupervised take home dosing.

This new approach is currently being referred to as Video DOT (video direct observation therapy) and has been successfully implemented with other health issues including hepatitis C, asthma, and diabetes.

While this experiment seems appealing at first glance, it does raise legitimate questions about the ability to insure proper safety protocols with the provision of methadone medication to new patients. The project may possibly demonstrate the usefulness of Video DOT methadone dosing. But assuming this new approach one day becomes common practice, it will be important that physicians or clinics have in place a procedure for quickly reclaiming methadone doses that are not ingested on schedule.

Imagine a new patient receives 7 take home doses of methadone, but then only sends in the required video of their medication use on day one. At what point does the prescribing clinic intervene, and how will the unaccounted for doses be retrieved?

Approved Opioid Treatment Programs currently have “callback” procedures in which stable patients are randomly selected to return to their home clinic with their unused take home doses. This allows the clinic medical staff to perform a medication count, and it acts as a safeguard to insure patients are taking their medication as prescribed.

Patients who have earned take home privileges through months of treatment progress are less inclined to divert or misuse methadone than someone who just started treatment. New patients must be inducted gradually on a stabilizing dose of methadone. And time is typically needed to help these patients adjust to methadone while eliminating use of all other illicit substances. This is where the benefit of a structured treatment program is most relevant. OTP’s provide extremely valuable life management skills training in conjunction with medication therapy.

It remains to be seen if “easy access” to methadone is truly an advancement in care, or a step backwards in accountability & safety for patients and the public.

Posted in Medication Assisted Treatment, Methadone, Methadone Clinics, Methadone Programs, Suboxone, Suboxone Clinics | Tagged | Comments Off on Remote Observation of Methadone Dosing